
In
1948, Dubach et al. discovered that,
based on tracer studies with isotopic iron, the absorption
of inorganic iron salts from the gastrointestinal tract
is incomplete in normal subjects and in patients with
hypochromic anemia. About 79-98% of the orally administered
iron was recovered in the stools. This discovery was
the basis for the search of a more readily absorbable
iron compound to treat iron deficiency anemia. Due to
its water solubility, sodium feredetate or FeNaEDTA (Ferrazone® BP)
is one of the main iron molecules investigated.
Will
and Vilter of the University of Cincinnati
investigated the therapeutic effects of sodium feredetate
in human. They discovered that iron from sodium feredetate
was utilized in Hb formation. Subsequently, more studies
were conducted to determine the efficacy of sodium
feredetate. Wegelius worked on treating infants and
young children in Aurora Hospital in Helsinki. She
confirmed that the iron-deficient infants and young
children responded well to sodium feredetate. Like
Will and Vilter, she also discovered that gastrointestinal
disturbances were infrequent.
C.F.
Herridge of St. George’s Hospital in London conducted
a comparative study of the use of sodium feredetate
to treat iron deficiency anemia. He verified that sodium
feredetate gave the greatest rise in Hb generation
(0.57 g/100 ml/week) as compared to ferrous gluconate
(0.40 g/100 ml/week) and ferrous succinate (0.35 g/100
ml/week).
Further,
Hodgkinson of Parke Davis revealed that iron
preparation based on sodium feredetate did not yield
astringent taste, produced minimal gastrointestinal
disturbances and did not stain the teeth.
In
Norway, Kahn and Larsen of Regional Hospital in Trondheim
conducted a study to treat iron deficiency anemia in
1-year old children. They administered 41.25 mg of Fe
as sodium feredetate. The study showed a significant
increase of Hb level immediately after treatment, which
was sustained for 4 weeks after treatment was stopped.
As
early as 1958, several companies have commercialized
hematinic iron preparation based on sodium feredetate
molecule. Until today, the brand Ferrostrane™ and
Sytron™ are still marketed in France and UK respectively.
Lately, formulation based on sodium feredetate has been
successfully launched in India under many brand names
such as Redefine™, Feredet™, FeRNOBEL™,
Ferich™ etc.
The
ease of formulating with Ferrazone® BP makes it
suitable for the production of many forms of iron supplement:
tablets, gel-caps or syrups.
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